| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,724 |
5,471 |
$220K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,177 |
4,729 |
$173K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,356 |
2,007 |
$131K |
| 20610 |
|
2,995 |
2,150 |
$83K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
3,981 |
3,037 |
$31K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
99 |
76 |
$23K |
| 95886 |
|
291 |
223 |
$14K |
| 80305 |
|
1,235 |
1,041 |
$8K |
| 72100 |
|
390 |
335 |
$7K |
| 73562 |
|
418 |
344 |
$6K |
| 20552 |
|
242 |
173 |
$3K |
| 95910 |
|
30 |
27 |
$3K |
| 72141 |
|
23 |
13 |
$3K |
| J7321 |
Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose |
17 |
12 |
$2K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
165 |
131 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
288 |
269 |
$2K |
| 72040 |
|
64 |
53 |
$1K |
| 95911 |
|
18 |
12 |
$1K |
| 64445 |
|
20 |
12 |
$567.33 |
| 73030 |
|
17 |
15 |
$223.43 |
| 20605 |
|
14 |
12 |
$222.72 |